A geriatric client in a long-term-care facility becomes increasingly confused and verbally aggressive as evening approaches. Which actions would the nurse interpret as potentially signaling a violent episode? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Question

Quizplus · Accepted Answer

1. The client may be about to flee the room or may be blocking the nurse's exit.
2. A blank stare could be related to pathology such as dementia or may signal a violent episode.
3. Alertness and orientation do not signal impending violence.
4. Preparing for battle signals impending violence.
5. It is fairly unlikely that a geriatric client in a long-term-care facility has access to a gun. The nurse must be aware of the statement but should consider the context.

A Geriatric Client in a Long-Term-Care Facility Becomes Increasingly Confused